Active NPI
Regional Cancer Care Associates
- Hematology & Oncology Physician
- Holmdel, NJ
National Provider Identifier
1275808248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- REGIONAL CANCER CARE ASSOCIATES
- Practice address
- 723 N Beers St
Suite 1E
Holmdel, NJ 07733-1517 - Phone
- (732) 739-8644
- Fax
- (732) 739-4438
- NPI assigned
- Mar 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrill Jordan
- Title
- President/Ceo
- Phone
- (201) 510-0910
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
723 N Beers St
Suite 1E
Holmdel, NJ 07733-1517
Mailing address
326 Professional View Dr
BLDG 300
Freehold, NJ 07728-7904
Phone (732) 431-8400
Other names 1
- Northern New Jersey Cancer Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0674146 | Regional Cancer Care Associates at Holmdel | Compliance | Oct 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
326 Professional View Dr
Bldg 300
Freehold, NJ 07728
Phone (732) 431-8400
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Freehold, NJ
- NPI 1649005885
-
- Hematology & Oncology Physician
- Freehold, NJ
- NPI 1922101161
-
- Hematology & Oncology Physician
- Burlington, VT
- NPI 1427294271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713657600000",
"number": "1275808248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 PROFESSIONAL VIEW DR",
"address_2": "BLDG 300",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077287904",
"telephone_number": "732-431-8400",
"fax_number": "732-431-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 N BEERS ST",
"address_2": "SUITE 1E",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331517",
"telephone_number": "732-739-8644",
"fax_number": "732-739-4438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL CANCER CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-09",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "TERRILL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "201-510-0910"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern New Jersey Cancer Associates",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.